medical conference santorini. santorini conference on gastrointestinal oncology

REGISTRATION FORM

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	Accompanying Persons
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PAYMENT


Bank deposit

Please deposit the total amount due to our ALPHA BANK details as below. Payment should be made in Euro and free of any bank charges to beneficiary. Please make sure that you indicate "Congress on Gastrointestinal Oncology" and your name and company or institution on all money transfers. Please send a copy of the stamped bank deposit receipt via fax at +30 22860-24059

ALPHA BANK

BENEFICIARY: NIKOLAOS ZAFIRIOU (KIVOTOS TRAVEL)

ACCOUNT NUMBER: 623-00-2310005014

IBAN: GR64-0140-6230-6230-0231-0005-014

SWIFT CODE: CRBAGRAA

Credit Card

I hereby authorize Kivotos of Aegean Travel to charge my credit card for the registration fees:

Amount in Euro to be charged:
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Card number: (e.g.. 0000-0000-0000-0000) Please double check that your credit card number is correct.
Card issue date:
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2nd International Congress on Gastrointestinal Oncology